Surgeries rarely present exactly as planned, especially when dealing with complex, progressive conditions like Rheumatoid arthritis. In this intense #LiveSurgeryTuesday segment, Dr. Alejandro Badia tackle a multi-layered challenge: a 38-year-old female patient with critical, progressive left-hand pain and limited motion in both her wrist and fingers.
Originally preparing for a total wrist replacement, Dr. Badia makes a critical discovery during bone preparation that changes the course of the procedure, demonstrating why specialized expertise matters. Observe the real-time decision-making as they shift focus to preserve as much natural joint structure as possible. Witness the dynamic steps of a precise wrist hemiarthroplasty, placing an implant on the capitate bone to optimize Preservation and preserve function.
Functional restoration doesn’t stop at the wrist. Dr. Badia immediately addresses severe, combined joint contractures in the patient’s fingers. Follow along step-by-step as the team performs a strategic trigger finger release, and intricate releases of both the Proximal Interphalangeal (PIP) joint capsule and volar plate. Finally, observe the final phase: Metacarpophalangeal (MCP) joint capsulectomy and tendon stabilization to improve posture. This multi-joint approach proves why consulting a dedicated upper extremity specialist is essential to restoring a high quality of life for rheumatoid patients.
